This option allows you to streamline your printing management models that can fill officers and deliver in his delegation Provincial or in central services. We hope will be useful.
NEW: The application forms can be filled from the screen then, for Printing. To be able to edit them correctly, you must have the latest version of the software Adobe Acrobat Reader. if not installed, you can download Adobe Acrobat Reader Â® of the page of Adobe Â® in Spain.
- Downloading Parts of Low (PDF) .
- Request Books of recipes (PDF) (Tentatively may request the new recipes by telephone , segÃºn ResoluciÃ³n del Secretario de Estado de PolÃtica Territorial y FunciÃ³n PÃºblica con motivo del COVID-19).
- Application of new parts of Low (PDF).
- Solicitud para la AfiliaciÃ³n y VariaciÃ³n de datos de Titulares A-1 (PDF) .
- Request Affiliation Widows/widows and orphans/Orphan A-2 (PDF) .
- Request for the Voluntary Affiliation (PDF) .
- Request High/Entry payee/Beneficiaries A-3 (PDF) .
- Request Low-payee/ A-5 (PDF) .
- Request Holders of low A-4 (PDF) .
- Request Change of Medical Entity (PDF) .
- Request Individual Membership card (PDF).
- Application of high/update data for the provision of Healthcare outside the national territory by destination or residence (PDF).
- Request Mixed Commission (PDF) .
- Request Return of health expenditures outside the national territory (PDF).
- Request European Health Insurance Card (PDF) .
- Request for authorization of Special medical treatment abroad (PDF)
- Request Recovery of pharmacy costs (PDF) .
- Request Recipes visa (PDF)
- Model of Medical Report for medicines and sanitary products that require Recipe visa (PDF)
- Medical Report model type rationale for indication for treatment with home enteral nutrition (PDF)
- Model of Medical Report type justification of the indication dietoterÃ¡picos treatments in congenital metabolic disorders (PDF)
- Model of medical report to visa indicated for medicines assisted reproduction techniques of cycles authorized by the Medical Entity (PDF)
- Model of the certificate on Medical Entity authorization from the same assisted reproduction technical (PDF)
- Application model Authorization of hospital dispensing medicine (PDF).
- Proof of model Withdrawal of hospital dispensing drugs without tamper coupon (PDF).
- Model Keep Medical report Quit
- The request for help Social welfare fund (F.A.S.) (PDF) .
- Benefit application by Major Disability (PDF) .
- Benefit application by Disabled child (PDF) .
- Request for retirement benefit for Permanent Disability (PDF) .
- Allowance request Temporary incapacity (PDF) and 145 Model (PDF).
- Grant application Retirement (PDF) .
- Application for compensation for Disabling not Permanent Injuries (PDF) .
- Benefit application by The birth or adoption of son (PDF) .
- Request for economic aid in cases of Birth, adoption and foster care multiple (PDF) .
- Request for help for Burial (PDF) .
- Request for aid from the care programme for people with Disabled (PDF)
- Request for aid from the care programme for people with Addicts (PDF)
- Request for aid from the care programme for people More (PDF)
- Request for help expenditure by Psychiatric hospitalization (PDF) .
- Request for help for treatment of Speech Therapy and psychotherapy (PDF) .
- Request for assistance for Supplementary Benefits (PDF) .
- Request for help from economic contribution in certain products ortoprotÃ©sicos (PDF) .
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